Healthcare Provider Details

I. General information

NPI: 1376189696
Provider Name (Legal Business Name): JANA BARCELON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S SHIRLINGTON RD STE 600
ARLINGTON VA
22206-3608
US

IV. Provider business mailing address

2800 S SHIRLINGTON RD STE 600
ARLINGTON VA
22206-3608
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-4245
  • Fax: 703-717-4248
Mailing address:
  • Phone: 703-717-4245
  • Fax: 703-717-4248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024181381
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number965737
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP141622
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: